Concurrent urinary and bowel diversion: Surgical modification with sigmoid colon that avoids a bowel anastomosis
Título del documento: Concurrent urinary and bowel diversion: Surgical modification with sigmoid colon that avoids a bowel anastomosis
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000434652
ISSN: 1677-5538
Autores: 1
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Instituciones: 1Boston University, Boston Medical Center, Boston, Massachusetts. Estados Unidos de América
Año:
Periodo: Ene-Feb
Volumen: 46
Número: 1
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental, aplicado
Resumen en inglés Objective: Cystectomy with urinary diversion is the gold standard for muscle invasive bladder cancer. It also may be performed as part of pelvic exenteration for non-urologic malignancy, neurogenic bladder dysfunction, and chronic conditions that result in a non-functional bladder (e.g., interstitial cystitis, radiation cystitis). Our objective is to describe the surgical technique of urinary diversion using large intestine as a conduit whilst creating an end colostomy, thereby avoiding a primary bowel anastomosis and to show its applicability with respect to urologic conditions. Materials and Methods: We retrospectively reviewed five cases from a single institution that utilized the described method of urinary diversion with large intestine. We describe operative times, hospital length of stay (LOS), and describe post-operative complications. Results: Five patients with a variety of urologic and oncologic pathology underwent the described procedures. Their operative times ranged from 5 hours to 11 hours and one patient experienced a Clavien III complication. Conclusion: We describe five patients who underwent this procedure for various medical indications, and describe their outcomes, and believe dual diversion of urinary and gastrointestinal systems with colon as a urinary conduit to be an excellent surgical option for the appropriate surgical candidate
Disciplinas: Medicina
Palabras clave: Oncología,
Urología,
Cirugía,
Derivación urinaria,
Técnicas quirúrgicas,
Anastomosis,
Intestinos
Keyword: Oncology,
Urology,
Surgery,
Urinary diversion,
Surgical techniques,
Anastomosis,
Intestines
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